Kelly B Conner, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

P4855 Issued in TX

Practice address

23050 Westheimer Pkwy
Katy, TX 77494-3596

Phone

(281) 394-9500

Fax

(281) 394-5350

NPI assigned

Apr 7, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cinco Ranch Dermatology PAGroup PAC ID 0345484598, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cinco Ranch Dermatology, P.a.

  • Dermatology Physician
  • Katy, TX
  • NPI 1780926733
  Medicare reassignment Care Compare group NPD Authorized official
• Skin Care Specialists, PLLC

  • MOHS-Micrographic Surgery Physician
  • Sugar Land, TX
  • NPI 1952842098
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1801039722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23050 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943596",
            "telephone_number": "281-394-9500",
            "fax_number": "281-394-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23050 WESTHEIMER PKWY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943596",
            "telephone_number": "281-394-9500",
            "fax_number": "281-394-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KELLY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P4855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Conely
• Brandise Conerly
• Rachel Conkin Kaminski, MD, MBA
• Chatoya Conley
• Brooke Conner
• Connie L Beckham PLLC
• Trissa McClatchey Connors, MD
• Conquer Holdings, Inc
• Alyssa J Conrad, NUTRITIONIST PN
• Consano Home Care Inc

• Dermatology Physician in Katy, TX
• Providers in Katy, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.